<!--%import("css/style.css")-->
<!--%import("filter/signup.xml")-->
<!--%import("js/socialxe.js")-->
<form id="fo_insert_member" class="form-horizontal" action="./" method="post" onsubmit="return procFilter(this, signup)" no-error-return-url="true">
<input type="hidden" name="provider" value="{$provider}" />
  <fieldset>
	  <legend>{$lang->title_social_login_additional} <small>{$lang->about_social_login_additional}</small></legend>
	<div class="control-group">
		<label for="email" class="control-label">{$lang->email_address}</label>
		<div class="controls">
			<input type="text" id="email" name="email_address" value="" class="inputTypeText w200 itx span3" placeholder="{$lang->email_address}"/>
			<p class="help-block">{$lang->about_email_address}</p>
		</div>
	</div>
	<div class="control-group">
		<label for="mailing" class="control-label">{$lang->allow_mailing}</label>
		<div class="controls">
			<input type="checkbox" class="checkbox" id="mailing" name="allow_mailing" value="Y" checked="checked" />
			<span class="help-inline">{$lang->about_allow_mailing}</span>
		</div>
	</div>
	  <div class="form-actions">
		<button type="submit" accesskey="s" class="button button-primary"><i class="icon-ok icon-white"></i> {$lang->cmd_registration}</button>
		<button class="button" type="button" onclick="location.href='/'"><i class="icon-remove"></i> {$lang->cmd_cancel}</button>
	</div>
  </fieldset>
</form>